| What the United States can learn from Brazil in response to HIV/AIDS: international reputation and strategic centralization in a context of health policy devolution. | |
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MedLine Citation:
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PMID: 20884619 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Contrary to what many may expect, this article argues that Brazil did a better job than the USA when it came to responding to HIV/AIDS. Because of the Brazilian government's concern about its international reputation and the partnerships it has forged with international donors and civil society, the government has been committed to strengthening decentralization processes by introducing both formal and informal re-centralization measures that strengthen health policy devolution, while effectively targeting the biggest at-risk groups. The US, in contrast, has not achieved these objectives, due to its lack of interest in increasing its international reputation and its focus on bi-lateral aid rather than investing in domestic policy. The paper closes by explaining the lessons that Brazil can teach the US and other large federations seeking to ensure that decentralization and prevention policy work more effectively. |
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Authors:
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Eduardo J Gómez |
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Publication Detail:
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Type: Journal Article Date: 2010-09-30 |
Journal Detail:
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Title: Health policy and planning Volume: 25 ISSN: 1460-2237 ISO Abbreviation: Health Policy Plan Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-21 Completed Date: 2011-02-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8610614 Medline TA: Health Policy Plan Country: England |
Other Details:
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Languages: eng Pagination: 529-41 Citation Subset: H |
Affiliation:
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Department of Public Policy & Administration, Rutgers University, 401 Cooper Street, Camden, NJ 08102, USA. edgomez@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Brazil Budgets HIV Infections* Health Policy* Humans Policy Making Politics* United States |
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